multidisciplinary discharge meditech magic 5 muse 5.66... · multidisciplinary discharge meditech...
TRANSCRIPT
Multidisciplinary Discharge Meditech Magic 5.66
HealthNET Systems Consulting, Inc.
Nichole Malone
Consultant
Add Your PictureHere
“Achieving quality and cost-effective patient care using information technology.”
• Practice started in 1985
• Corporate office in Burlington, MA
• Dedicated to the healthcare industry• Strategic Planning – aligning IT with business
strategies• IT Project Implementations• IT Operations
Magic 5.66 Multidisciplinary Discharge
• Clinical/Functional Goals
• 5.66 Discharge Desktop(s)
• Expectations for the Routine
• Functionality Expectations
• Reality of Implementation
• Key Functionality Points
5.66 Discharge Desktops
• Multiple disciplines effectively communicate during discharge planning in a complete and timely manner
– Nursing
– Physicians
– Pharmacy
– Nutrition
– Social Work
– PT, OT
– Case Managers
– Ect.
• Functionality assists in the overall patient centered goal to reduce readmission and adverse health consequences
Customized Discharge Desktop – I.E. Physicians
Customized Discharge Desktop – I.E. Nursing
5.66 – Functionality Expectations
• Dynamic routine to streamline multidisciplinary coordination of a complete and accurate discharge plan
• Plan requirements driven by discharge disposition
• Customized desktops directed towards specialty (Case Managers, Nursing, Physicians, etc)
• User friendly functionality in one location
Implementation Roadblocks
• New look and feel
– A lot of Training and Support will be needed
• Many bugs that need to be resolved (Early Adopters)
• Set-back on finalizing:– Workflow
– Training Materials
– Training
– Decision on what functionality for initial LIVE versus Post-LIVE
Available Functionality
Care Team
• MU Requirement
• Care Team will appear in:
– Patient Portal
– Patient Visit Report (Clinical Review)
– Patient Health Summary
• Considerations:
– Build in Provider Dictionary
– Setup of Provider Types
– Update Address/Phone Number
– Primary Abstract Service - Specialty
• Using Sign-Up Functionality – Only most recent MD listed
– Manual addition of other attending physicians
Care Team on Outputs
Customize by Disposition
• Assessments
• Forms ( Link NPR, CDS’s)
• Custom Patient Visit Report
• Coming from 5.64 full discharge functionality and can not do this with PDOC
– Risk Forget Forms
– Forms that may not need to go on the pt visit report but should come with printed packet and the do not
• Various Formatting issues
Assessments
Forms
Patient Visit Report Format
Link to Discharge Disposition
Assessment on Patient Visit Report
PDOC – Control Pt Rpt Display
PDOC on Patient Visit Report
Current State Formatting Issues
Medication Reconciliation
• Combined Sort by Generic Class
– FSV Header View – Medispan display
– View inpatient and Home Meds together under classes
– Unable to change sort on the fly
• New Warnings
– Can’t Finalize until all medications reconciled
– Warns if all home medications are not reconciled
• Finalize
– Possible tool for communication
– Clinical setting no true finalize
– Only can Stop/Cancel after finalize (Loss other edit ability)
• Submitting Process
– Many fixes needed to fix renew, convert, and new issues (PP2)
Additional Checks
Reconcile All Home Medications:
Not in Discharge?
Custom Headings!
Standard Patient Friendly Output!
Orders/Referrals
• No need to access separate routines
• Orders
– Similar functionality once user learns how to access
• Referrals
– Specialty (Abstract Service) Required
– Diagnosis
– # Visits
– Can add custom CDS’s
– Still can not customize outputs
Additions to Referrals
Patient Visit Report Output
Outputs, Outputs
• Forms – CDS/NPR
• Assessments
• Patient Queries
• PDOC Reports
Nurse Documents:
Physician Documents:
Patient Data Queries Bring it All Together!
Communication Changes/Decisions
• Physicians can access POM Discharge Orders from the Routine
• Can pull “Discharge” type Order Query info onto Patient Visit Report
• Loss of the “Discharge in Process” Order
• Finalize not easy to see after a physician processes
• Who will print the packet?
Reconcile Rx – Discharge Actions
Finalized Header
Discharge Complete CPOE Order
Now to Print the Packet?
